Provider Demographics
NPI:1396310850
Name:RIGGLE, JO ANNA (PT, DPT)
Entity type:Individual
Prefix:
First Name:JO
Middle Name:ANNA
Last Name:RIGGLE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:JO
Other - Middle Name:ANNA
Other - Last Name:CHESHARECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:665 44TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-2346
Mailing Address - Country:US
Mailing Address - Phone:815-685-7053
Mailing Address - Fax:
Practice Address - Street 1:2800 SUNSET DR.
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:IA
Practice Address - Zip Code:50211
Practice Address - Country:US
Practice Address - Phone:515-981-1888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA077368225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist